Martin Family Practice Pc

LBN: Martin Family Practice Pc
Martin Family Practice Pc is an health care organization with primary practice located at 4405 Bellemeade Ave Ste 102, Evansville IN 47714-0682. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Martin Family Practice Pc can be contacted via phone (812) 437-5554, or through Martin, Mark A via phone (812) 437-5554.

Contact Information

Primary practice address
4405 Bellemeade Ave Ste 102 Evansville IN 47714-0682
Phone: (812) 437-5554
Fax: (812) 437-5577
Website:
Map and Directions
Authorized official contact:
Name: Martin, Mark A Doctor of Osteopathy (DO)
Phone: (812) 437-5554

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02002206A Indiana

Profile Details

NPI number 1902091143
LBN Legal business name Martin Family Practice Pc
DBA Doing business as
Authorized official Martin, Mark A Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2007
Last updated Oct 8th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902091143 NPPES
Indiana MEDICAID 200355030B

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